Jericho High School Teacher Evaluation Form
99 Cedar Swamp Road
Jericho, NY 11753
To The Applicant
Fill in the information below and give it to a teacher who has taught you an academic subject.
Provide the teacher with stamped envelopes addressed to each of the colleges requesting a Teacher Evaluation.
Student Name _______________________________________________________________________
Number and Street
School you now attend – Jericho High School
CEEB/ACT code – 332628
I waive access to this recommendation which shall therefore be considered confidential.
To The Teacher
Teacher’s Name (please print or type)
Note to Schools: All information regarding the teacher’s length of acquaintance with the student, the subjects taught to the student
and student achievement in the course is addressed in the attached letter.
1. What do you know of this student’s intellectual qualities? What are your impressions of the student’s academic priorities? Can you
give any evidence about the nature of his/her motivation for academic work? Consider the originality, independence and sensitivity
he/she displays in course work and the breadth of intellectual interests. How are the expressions of verbal and written ideas? What is
the quality of his/her performance as compared to classmates?
2. Which personal qualities stand out in the applicant? In addition, are there any features of the applicant’s background that would be
important for a college to know? Consider personal strengths and weaknesses.
3. Do you have any reason to doubt this student’s academic integrity?
4. In terms of your _____ years of experience, how would you compare this applicant to his/her entire class?
Teacher Recommendation Letter Attached
Signature _________________________________________________________Date _______________